Identities/MBR-009435
Gold, golden identity

Joe M Flores

4 source records from 3 feeds.

MBR-009435Verified4 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameENR
Joe
Middle nameENR
M
Last namePRV
Flores
Date of birthENR
1977-12-18
GenderENR
F
Member IDENR
UHC-45040-71
SSNCLM
•••-••-3666
PhoneENR
6988253862
EmailENR
joe.flores70@aol.com
AddressENR
8481 River Rd
CityENR
Plano
StateENR
TX
ZIPENR
75008
GroupENR
GRP-9680
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×2ENR ×1PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

1.000.990.991.00CLMCLM-404390CLMCLM-404391ENRENR-105812PRVPRV-21258IDMBR-009435
Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link

Linked source records

Silver values for each record in the cluster, and how it was attached

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-404390CLM2026-02-01Joe Floresflagged1977-12-18UHC-45040-71—8481 River Rd, Plano, TXScored1.00—
CLM-404391CLM2026-02-24Joe Flloresflagged1977-12-18——8481 River Rd, Plano, TXScored0.99—
ENR-105812ENR2026-05-11Joe Florasflagged1977-12-18UHC-45040-7169882538628481 River Rd, Plano, TXRule0.99D1 member id + dob exact
PRV-21258PRV2026-07-13Joe Floresflagged1977-12-18—69882538628481 River Rd, Plano, TXScored1.00—

Evidence

6 scored pairs among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-404390CLMPRV-21258PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404390CLMCLM-404391CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404391CLMPRV-21258PRV0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404390CLMENR-105812ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-105812ENRPRV-21258PRV0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-404391CLMENR-105812ENR0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-404391 → UHC-45040-71 (Joe Flores)
    ACT-003968, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically93e85fa375
    scoring_agent, PRV-21258, identity id MBR-009435, confidence 1, method probabilistic, matched record CLM-404390, policy version 1
  • 2026-10-19 19:54:38Record linked automatically81e0912a5f
    matching_agent, ENR-105812, identity id MBR-009435, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404390
  • 2026-10-19 19:54:38Record linked automatically218650671a
    scoring_agent, CLM-404391, identity id MBR-009435, confidence 0.99, method probabilistic, matched record CLM-404390, policy version 1
  • 2026-10-19 19:54:38Record linked automatically64f3882a45
    scoring_agent, CLM-404390, identity id MBR-009435, confidence 1, method probabilistic, matched record PRV-21258, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5ca2f83add
    scoring_agent, PRV-21258, identity id MBR-009435, confidence 1, method probabilistic, matched record CLM-404390, policy version 1
  • 2026-10-19 19:52:09Record linked automatically337b67757a
    matching_agent, ENR-105812, identity id MBR-009435, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404390
  • 2026-10-19 19:52:09Record linked automatically68daebd749
    scoring_agent, CLM-404391, identity id MBR-009435, confidence 0.99, method probabilistic, matched record CLM-404390, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyabea7b24b7
    scoring_agent, CLM-404390, identity id MBR-009435, confidence 1, method probabilistic, matched record PRV-21258, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1cb346e080
    scoring_agent, PRV-21258, identity id MBR-009435, confidence 1, method probabilistic, matched record CLM-404390, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyedde7feea7
    matching_agent, ENR-105812, identity id MBR-009435, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404390
  • 2026-10-19 19:45:42Record linked automatically90658cbb05
    scoring_agent, CLM-404391, identity id MBR-009435, confidence 0.99, method probabilistic, matched record CLM-404390, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd15b9e5022
    scoring_agent, CLM-404390, identity id MBR-009435, confidence 1, method probabilistic, matched record PRV-21258, policy version 1
  • 2026-10-19 19:32:31Record linked automatically827d81c1ca
    scoring_agent, PRV-21258, identity id MBR-009435, confidence 1, method probabilistic, matched record CLM-404390, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfba0252826
    matching_agent, ENR-105812, identity id MBR-009435, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404390
  • 2026-10-19 19:32:31Record linked automaticallyd3846199d7
    scoring_agent, CLM-404391, identity id MBR-009435, confidence 0.99, method probabilistic, matched record CLM-404390, policy version 1
  • 2026-10-19 19:32:31Record linked automatically46bf62f9bf
    scoring_agent, CLM-404390, identity id MBR-009435, confidence 1, method probabilistic, matched record PRV-21258, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya5e6dc2482
    matching_agent, CLM-404390, identity id MBR-027282, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105707
  • 2026-10-19 19:31:28Record linked automatically4a76798faa
    matching_agent, CLM-404391, identity id MBR-019306, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105710
  • 2026-10-19 19:31:28Record linked automatically1238b88e3e
    matching_agent, PRV-21258, identity id MBR-016637, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404229
  • 2026-10-19 19:31:28Record linked automatically9abff061bc
    matching_agent, ENR-105812, identity id MBR-007323, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404455

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0101092026-01-21Mesa Family Practice
in network
99214, 99395$542.00—Needs reviewNeeds review
CLM-2026-0253322026-01-02Harbor Diagnostic Imaging
in network
71046$159.00$0.00ApprovedApproved